Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Apr 2014
Case Reports[Spontaneous pneumomediastinum secondary to inhalation of crack.]
The use of cocaine causes numerous cardiovascular and pulmonary side effects. In this context, the occurrence of a pneumomediastinum represents a specific complication, often misunderstood by primary care physicians. ⋯ A short observation period with outpatient follow-up is appropriate in the majority of patients. Invasive procedures have a low yield and should be based on a high degree of clinical suspicion for esophageal rupture or bronchial tree laceration.
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Ann Fr Anesth Reanim · Apr 2014
[Use of the intraosseous access in adult patients in France in 2012.]
To evaluate theoretical and practical knowledges of intraosseous (IO) access in adults patients in France in 2012. ⋯ Only 29% of practitioners have ever used an IO kit. With the new IO kits, a theoretical and practical training is needed to ensure IO kit used.
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Ann Fr Anesth Reanim · Apr 2014
Randomized Controlled Trial Comparative StudyDoes sevoflurane preserve regional cerebral oxygen saturation measured by near-infrared spectroscopy better than propofol?
The aim of this study was to compare the effect of sevoflurane and propofol on cerebral oxygenation, using regional cerebral oxygen saturation (SrO2) measured by near-infrared spectroscopy (NIRS). ⋯ Cerebral cortical oxygenation measured by NIRS may be better preserved with sevoflurane than with propofol. These findings suggest that sevoflurane anaesthesia could be a good option in patients with compromised cerebral oxygenation, given the absence of intracranial hypertension. Further studies with larger sample sizes are required to support our results.